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首页> 外国专利> TECHNOLOGY OF REMOTE MEDICAL REHABILITATION OF PATIENTS WITH CORONAVIRUS INFECTION

TECHNOLOGY OF REMOTE MEDICAL REHABILITATION OF PATIENTS WITH CORONAVIRUS INFECTION

机译：冠状病毒感染患者的远程医疗康复技术

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FIELD: medicine.;SUBSTANCE: invention relates to medicine, medical equipment and rehabilitation using computer technology, innovative electronic developments of distance learning and treatment systems, cloud systems and is based on use of a telemedicine platform for rehabilitation online sessions with patients suffering from or undergoing coronaviral infection in self-isolation mode, for complex improvement of the functions of their respiratory, cardiovascular, motor, digestive, and nervous systems. Remote rehabilitation is performed on a cloud telemedical platform – COVIDREHAB, using a device suitable for unobstructed Internet access and video communication in real time. First, patient leaves online application on platform portal for remote rehabilitation, filling a set of questionnaires, attending physician checks completed questionnaires: health assessment, mMRC (Modified Medical Research Council), SF-36, and determines indications and contra-indications for remote rehabilitation in accordance with information received from patient. If, in the process of filling out the questionnaires, the patient indicates a symptom that is dangerous or critical for life and health, patient immediately receives notification from attending physician on in-person seeking of medical care. According to results of patient filling questionnaires and analyzing available information on patient's condition, attending physician through portal of telemedicine platform opens the patient access to set of medical recommendations in form of links to Internet resources with remote sessions with an instructor of physical therapy (PT), as well as with information materials or video lections, placed on the same portal and relating, in addition to PT, recommendations for nutrition, intestinal microflora recovery and drug-free posttraumatic recovery methods, or in accordance with the patient's condition, sends a message on the need for an in-person visit to the doctor. As rehabilitation measures, patients undergo a distance rehabilitation course for 20 days: 14 days of online sessions with a PT instructor and according to the indications – with a psychologist, in a group or individually, and 6 days of self-study on video lessons. At that, as PT sessions, diaphragmatic breathing is taught to patients in online classes led by an instructor, after which they perform complex exercises of respiratory gymnastics using diaphragmatic breathing under video surveillance of instructor. In the sitting and standing positions, a complex of general strengthening exercises with respiratory exercises elements is performed, including power and aerobic exercises of increasing intensity. After each session, the patients fill the PT activity tolerance questionnaire, according to the results of which either continue this course, or the physician directs them a link to the passage of another PT complex, in accordance with their tolerability. Remote online sessions for 14 days are daily, each consisting of consecutive blocks: first 5 minutes of diaphragmatic breathing, then 40 minutes of PT, including respiratory gymnastics, then patients fill the PT activity tolerance questionnaire and send it through platform portal to attending physician, sessions with psychologist according to indications, consultation of the attending physician on dynamics of the patient's state with making a decision on continuation of the current rehabilitation complex or on the complex replacement in accordance with patient's tolerance. At end of 14th session, the patient refills the set of questionnaires used before the rehabilitation, and sends them through the platform portal to the attending physician to assess the health state dynamics, by results of which the physician directs the patient to the recommendations of the video lessons for independent rehabilitation – continuation or change of PT complexes, respiratory exercises, the corresponding psychological effect, diet, wherein the duration of each video lesson with independent exercise by the patient of the corresponding exercises does not exceed 30 minutes.;EFFECT: method provides enlarging the rehabilitation possibilities of the patients with coronavirus infection both physically and psychologically, improving functions of various human body systems within the complex unified rehabilitation program, improving quality of life of patients with the possibility of direct dynamic monitoring of their health in real time; also the method provides accelerated process of recovery after treatment, provides psychological support irrespective of the patient's location, prevention of secondary complications.;3 cl, 1 ex, 6 tbl
机译：技术领域本发明涉及使用计算机技术的医学，医疗设备和康复，远程学习和治疗系统的创新电子开发，云系统，并且基于使用远程医疗平台进行患有或患有以下疾病的患者的康复在线会议以自我隔离模式进行冠状病毒感染，以改善其呼吸，心血管，运动，消化和神经系统的功能。远程康复在云远程医疗平台COVIDREHAB上进行，使用适合于畅通无阻的Internet访问和实时视频通信的设备。首先，患者将在线应用程序留在平台门户上以进行远程康复，填写一组调查表，参加医师检查已完成的问卷：健康评估，mMRC（改良医学研究委员会），SF-36，并确定远程康复的适应症和禁忌症根据从患者那里获得的信息。如果在填写调查表的过程中患者指示出对生命和健康有害或至关重要的症状，则患者会立即从主治医师那里收到亲自就医的通知。根据患者填写问卷的结果并分析有关患者状况的可用信息，通过远程医疗平台的门户就诊的医师可以通过互联网链接的形式，通过与物理治疗讲师（PT）进行远程会议的方式，打开患者对一系列医疗建议的访问权限，以及与信息材料或录像带一样的信息，放置在同一门户上，除PT以外，还建议营养，肠道菌群恢复和无药后创伤恢复方法的建议，或根据患者的病情发送信息需要亲自去看医生。作为康复措施，患者需要进行20天的远程康复课程：根据PT指导老师的指示，并根据指示（与心理学家分组或单独进行），进行14天的在线课程，并进行6天的视频课程自学。那时，在PT课上，在由讲师指导的在线课程中，向患者讲授diaphragm肌呼吸，然后在讲师的视频监视下，他们使用diaphragm肌呼吸进行呼吸体操的复杂练习。在坐姿和站立姿势中，将进行带有呼吸运动元素的综合强化运动，包括力量和有氧运动强度的增强。每次疗程结束后，患者填写PT活动耐受性调查表，根据其结果继续该过程，或者根据其耐受性，医师将其引导至另一个PT复合物通过的链接。每天进行为期14天的远程在线会议，每个阶段包括连续的部分：首先进行5分钟的diaphragm肌呼吸，然后进行40分钟的PT（包括呼吸体操），然后患者填写PT活动耐受性问卷并将其通过平台门户发送给主治医师，根据适应症与心理学家会面，就主治医师就患者状态的动态进行咨询，并根据患者的耐受性决定是否继续目前的康复综合体或替代综合体。在第14届会议结束时，患者补充在康复之前使用的调查表集，并通过平台门户将其发送给主治医师，以评估健康状况的动态，医师将其结果指导患者接受医疗保健机构的建议。独立康复的视频课程– PT复合体的持续或改变，呼吸运动，相应的心理作用，饮食，其中患者进行相应锻炼的独立运动的每堂视频课程的时长不超过30分钟。;效果：方法提供增加冠状病毒感染患者在生理和心理上的康复机会，在复杂的统一康复计划中改善各种人体系统的功能，改善患者的生活质量，并可以直接动态动态监测其健康状况;该方法还提供了加速的治疗后恢复过程，无论患者身在何处都提供了心理支持，防止了继发性并发症。3cl，1 ex，6 tbl

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